两种术式治疗腮腺浅叶良性肿瘤疗效比较  

A comparative study on effects of two surgical treatments in benign tumors of parotid gland superficial lobe

作　　者：曹玉堂[1] 

机构地区：[1]重庆市第九人民医院口腔科,重庆400700

出　　处：《现代医药卫生》2011年第2期175-176,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨保留腮腺功能的浅叶部分切除术与腮腺浅叶全切术的腮腺浅叶良性肿瘤的临床效果。方法:将52例临床诊断为腮腺浅叶良性肿瘤的病例分为A、B两组,A组行保留腮腺功能的浅叶部分切除术;B组行传统术式,术后经0.5~6年的随访,观察复发、并发症和腮腺功能等情况。结果:两组均无肿瘤复发病例。患者术后并发症比较:皮下积液或涎瘘:A组0例(0%),B组2例(10%);暂时性面瘫:A组1例(3.13%),B组3例(15%),均在15 d^6个月内恢复;味觉出汗综合征:A组0例(0%),B组2例(10%);面部明显凹陷畸形:A组1例(3.13%),B组4例(20%)。两组并发症比较差异有统计学意义(P<0.05)。结论:保留腮腺功能的浅叶部分切除术治疗腮腺浅叶良性肿瘤疗效可靠,且弥补了传统腮腺手术的不足,有一定的优越性。Objective：To investigate the clinical effects of partial and total resection of superficial gland as two surgical approaches of superficial parotid gland benign tumor.Methods：52 patients were divided into two groups.Group A（32 cases） were operated by the conserving parotid function.Group B（20 cases） were operated by traditional technique.Then follow-up was done for 0.5-6 years to observe the postoperative recurrence,complication and parotid function.Results：There was no tumor recurrence in two groups.The incidence of saliva fistula in group A（0%） was significantly lower than that of group B（10%）（P0.05）.The rate of transient facial nerve palsy in group A（3.13%） was evidently lower than that of group B（15%）（P0.05）.The facial paralysis returned to normal in postoperative 15 d to six months.The incidence of Frey′s syndrome in group A（0%） was significantly lower than that of group B（10%） by subjective observation and minor test（P0.05）.The rate of marked facial sunken deformity in group A（3.13%） was evidently lower than that of group B（20%）（P0.05）.Conclusion：It is credible to treat superficial parotid gland benign tumor by partial resection of superficial gland with the conserving parotid function.And this approach makes up the deficiencies of traditional parotid gland surgery,which has some advantages.

关 键 词：腮腺 良性肿瘤 外科手术 

分 类 号：R78[医药卫生—口腔医学]